Best Practice Disease Management’s (BPDM’s) services are typically suited to payers, but are equally beneficial for any organization carrying or participating in the risk for providing health care services to their membership.
Best Practice provides a two-fold full range of services program consisting of front end health care needs administered directly to the patient, coupled with back end cutting edge administrative and management tools.
Front end health care services include, but are not limited to, risk assessments, diagnostic testing, home health, telehealth, and use of technology for in-home monitoring of the seriously ill. Back-end services include advanced technology to manage and schedule patients, track financial and clinical results, and submit and track billing for services provided.
BPDM’s mission is to identify and manage chronically ill patients to an improved quality of life while decreasing the cost of care for their health insurance organization.Are you a Medicare Advantage plan interested in raising your 5-star rating?
Under section 1102 of the Health Care Education and Reconciliation Act (HCERA) requires the Secretary to implement a quality based bonus payment for Medicare Advantage plans based on a 5-star rating system. This 5 star system is used by CMS to assist beneficiaries in making the "best choice" when selecting a plan during the annual election period.
Beginning in 2012 payments to plans will also be affected by their Star ratings. Star ratings range from 1 star to 5 stars, where a rating of 1 star means "poor" quality, 2 stars means "below average" quality, 3 stars means "average" quality, 4 stars means "above average" quality and 5 stars means "excellent" quality.
The ratings appear on the Medicare Web site at www.medicare.gov/find-a-plan.
Under the HCERA, Quality Bonus Payments (QBP) will be made to plans that have a quality rating of 4 stars of higher.BPDM can help you achieve a higher star rating and increase your QBP. Just call us to find out how.
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